Pancreas Flashcards

1
Q

What are Langhan’s giant cells associated with?

A

Granulomatous disease processes such as tuberculosis

Langhan’s giant cells contain nuclei arranged in a horseshoe configuration.

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2
Q

What is the typical cell size range for lymphocytes?

A

6-14 µm

Lymphocytes are characterized by their small size and round shape.

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3
Q

Describe the cytoplasmic staining of lymphocytes.

A

Very lightly cyanophilic but often absent

This indicates that lymphocytes may not show strong staining characteristics.

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4
Q

What is the nuclear shape and chromasia of lymphocytes?

A

Round and typically hyperchromatic

Hyperchromatic nuclei indicate a high concentration of DNA.

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5
Q

What type of inflammation do lymphocytes represent?

A

Chronic inflammation

Lymphocytes are often present alongside histiocytes in chronic inflammatory conditions.

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6
Q

What are the characteristics of eosinophils?

A
  • Cell size: 12-15 µm
  • Cell shape: round
  • Cytoplasmic staining: eosinophilic
  • Nuclear shape: bi-lobed
  • Nuclear chromasia: normochromatic-hyperchromatic

Eosinophils are involved in allergic responses and parasitic infections.

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7
Q

What is the role of plasma cells?

A

Transformed B lymphocytes capable of producing antibodies

Plasma cells are often found in chronic inflammatory processes.

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8
Q

Describe the cytologic criteria of plasma cells.

A
  • Cell size: 12-15 µm
  • Cytoplasmic staining: eosinophilic, less frequently cyanophilic
  • Nuclear shape: round
  • Nuclear location: eccentric

Plasma cells exhibit a distinct nuclear arrangement known as clock-face chromatin.

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9
Q

What is the significance of neutrophils in cytology specimens?

A

Indicate acute inflammation

Neutrophils are the most common type of white blood cells present during acute inflammatory responses.

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10
Q

What indicates a satisfactory cervical smear in relation to neutrophils?

A

If >50% but <75% of cellular detail is obscured by neutrophils

This requires that the smear has an adequate number of epithelial cells.

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11
Q

What are the cytologic features of red blood cells (RBCs)?

A
  • Cell size: 35 µm
  • Cell shape: round-oval
  • Arrangement: isolated/single, clumps
  • Staining reaction: variable, typically eosinophilic

RBCs can indicate bleeding or hemorrhage in cytology specimens.

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12
Q

What happens to RBCs when they degenerate?

A

They disintegrate into multiple red/orange fibers tangled together

This is identified as hemosiderin or old blood in cytologic specimens.

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13
Q

What are histiocytes and their role?

A

Phagocytic cells that engulf microorganisms and cellular debris

They are part of the reticuloendothelial system.

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14
Q

What is the cell size and shape of eosinophils?

A

Cell size: 12-15 µm; Cell shape: round

Eosinophils are characterized by their granular cytoplasm.

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15
Q

What indicates an unsatisfactory cervical smear in relation to neutrophils?

A

If >75% of the cellular detail is obscured by neutrophils

This requires no atypical or abnormal cells to be identified.

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16
Q

What is the significance of the presence of WBCs in cytology specimens?

A

Indicates an inflammatory process

WBCs transport from blood vessels into affected tissues.

17
Q

What is the typical nuclear shape of histiocytes?

A

Reniform/kidney bean or round

This shape helps in identifying histiocytes in cytologic specimens.

18
Q

Fill in the blank: Plasma cells are transformed _______ that produce antibodies.

A

B lymphocytes

Plasma cells are crucial in the immune response.

19
Q

What type of chromatin pattern is associated with plasma cells?

A

Clock-face chromatin or cart-wheel

This pattern is due to large chromatin particles attached to the nuclear membrane.